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The 2019 Medicare Advantage Plans in Wayne County MI.



2018 Medicare Advantage Plans in Wayne County Michigan

There are 38 Medicare Advantage Plans available in Wayne County MI from 9 different health insurance providers. 2 of these Medicare Advantage plans offer additional gap coverage. The plan with the lowest out of pocket expense is $3200 and the highest out of pocket is $6700. The highest rated plan available in Wayne County received a 4.5 overall star rating from CMS and the lowest rated plan is 3 stars. Wayne County Michigan residents can also pick from 2 Medicare Special Needs Plans.



(Click the Plan Name for More Details)

Name Premium
C+D
Part D
Deductible
 Gap  MOOP Overall Rating Formulary Sign Up
Aetna Medicare Premier Plan (PPO)
$92.00 $115.00 No $4,900 FormularyEnroll
BCN Advantage HMO ConnectedCare (HMO)
$56.00 $0.00 No $3,800 FormularyEnroll
BCN Advantage HMO HealthySaver (HMO)
$23.00 $100.00 No $4,500 FormularyEnroll
BCN Advantage HMO HealthyValue (HMO)
$0.00 $250.00 No $4,700 Formulary
BCN Advantage HMO-POS Basic (HMO-POS)
$0.00 $395.00 No $4,700 FormularyEnroll
BCN Advantage HMO-POS Classic (HMO-POS)
$164.00 $0.00 No $3,800 FormularyEnroll
BCN Advantage HMO-POS Elements (HMO-POS)
$69.00 $4,500 Enroll
BCN Advantage HMO-POS Prestige (HMO-POS)
$301.50 $0.00 No $3,800 FormularyEnroll
Blue Cross Medicare Private Fee for Service (PFFS)
$220.00 N/A Enroll
HAP Senior Plus (HMO)
$0.00 $0.00 No $6,700 Formulary
HAP Senior Plus Henry Ford Tiered Access (HMO)
$60.00 $0.00 No $4,500 Formulary
HAP Senior Plus Medical Only (HMO)
$0.00 $4,500
HAP Senior Plus Option 1 (HMO-POS)
$45.00 $0.00 No $4,500 Formulary
HAP Senior Plus Option 1 (PPO)
$15.00 $0.00 No $5,500 Formulary
HAP Senior Plus Option 2 (HMO-POS)
$85.00 $0.00 No $4,200 Formulary
HAP Senior Plus Option 2 (PPO)
$118.00 $0.00 No $4,500 Formulary
HAP Senior Plus Option 3 (HMO-POS)
$170.00 $0.00 Yes $4,000 Formulary
HAP Senior Plus Option 3 (PPO)
$190.00 $0.00 Yes $4,000 Formulary
Humana Gold Plus H8908-001 (HMO)
$47.00 $0.00 No $4,500 FormularyEnroll
Humana Gold Plus H8908-004 (HMO)
$0.00 $405.00 No $6,700 FormularyEnroll
Humana Value Plus H5216-133 (PPO)
$26.90 $280.00 No $6,700 FormularyEnroll
HumanaChoice H5216-011 (PPO)
$106.00 $105.00 No $6,700 FormularyEnroll
HumanaChoice H5216-012 (PPO)
$0.00 $6,700 Enroll
HumanaChoice R3887-001 (Regional PPO)
$0.00 $6,700 Enroll
HumanaChoice R3887-002 (Regional PPO)
$133.00 $405.00 No $6,700 FormularyEnroll
Medicare Plus Blue PPO Assure (PPO)
$312.50 $0.00 No $4,000 FormularyEnroll
Medicare Plus Blue PPO Essential (PPO)
$24.00 $405.00 No $6,400 FormularyEnroll
Medicare Plus Blue PPO Signature (PPO)
$172.50 $105.00 No $4,700 FormularyEnroll
Medicare Plus Blue PPO Vitality (PPO)
$109.50 $405.00 No $5,400 FormularyEnroll
MeridianCare Elite (HMO)
$47.00 $0.00 No $3,200 Formulary
MeridianCare Enhanced (HMO)
$0.00 $0.00 No $6,700 Formulary
MeridianCare Essential (HMO)
$0.00 $0.00 No $4,250 Formulary
PriorityMedicare (HMO-POS)
$140.00 $0.00 No $3,400 FormularyEnroll
PriorityMedicare Ideal (PPO)
$18.00 $125.00 No $6,400 FormularyEnroll
PriorityMedicare Key (HMO-POS)
$0.00 $150.00 No $4,200 FormularyEnroll
PriorityMedicare Merit (PPO)
$86.00 $75.00 No $3,750 FormularyEnroll
PriorityMedicare Select (PPO)
$198.00 $0.00 No $3,750 FormularyEnroll
PriorityMedicare Value (HMO-POS)
$63.00 $75.00 No $4,500 FormularyEnroll
Return to 2018 Medicare Advantage Plans in Michigan

* Plan Type does not offer Medicare Part D drug coverage.



2018 Medicare Special Needs Plans in Wayne county Michigan

Plan Name Monthly
Consolidated
Premium C+D
Part D
Deductible
 Gap  Special Needs
Type
Overall Rating
MeridianCare Extra (HMO SNP)
(H5475- 001)
   $33.30 $405.00  No Dual-Eligible
Molina Medicare Options Plus (HMO SNP)
(H5926- 001)
   $33.30 $405.00  No Dual-Eligible


Plan Type Is the type of organization offering the Medicare Plans.

  • HMO - Health Maintenance Organization
  • PPO - Preferred Provider Organization
  • PDP - Prescription Drug Plan
  • SNP - Special Needs Plan
  • POS - Point of Service
  • PFFS - Private Fee For Service

Monthly Consolidated Premium (Includes Part C + D) Your premium may be lower depending on your eligibility for medical assistance. Call your provider for details.

Part D Total Premium: The Part D Total Premium is the sum of the Basic and Supplemental Premiums. Note: the Part D Total Premium is net of any Part A/B rebates applied to "buy down" the drug premium for Medicare Advantage; for some plans the total premium may be lower than the sum of the basic and supplemental premiums due to negative basic or supplemental premiums.

Benefit Type
  • (EA) Enhanced Alternative may offer additional gap coverage which is calculated as the percentage of generic formulary products with coverage above standard generic coverage gap cost-sharing benefit and/or the percentage of brand formulary products covered in addition to the coverage gap discount for applicable drugs.
  • (DS) Defined Standard Benefit
  • (BA) Basic Alternative
  • (AE) Actuarially Equivalent Standard

GAP

In 2018 once you and your plan provider have spent $3750 on covered drugs. (combined amount plus your deductible) You will be in the coverage gap. (AKA "donut hole") Once you reach the coverage gap you will pay 35% of the plans cost for covered brand-name prescription drugs and 44% on generic drugs unless your plan offers additional coverage.

Maximum Out-of-Pocket (MOOP) limit on enrollee spending that includes costs for all in-network Part A and Part B Services. NOT Part D - prescription drugs. N/A is defined as Not Applicable



Source: CMS.

Data as of September 5, 2017.

Plans are subject to change as contracts are finalized.

Includes 2018 approved contracts. Employer sponsored 800 series and plans under sanction are excluded. For 2018, enhanced alternative may offer additional cost sharing reductions in the gap on a sub-set of the formulary drugs, beyond the standard Part D benefit.

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